Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Formless Form Qigong & Acupuncture

Organization Acupuncturist · NPI 1306199864

Formless Form Qigong & Acupuncture is an Acupuncturist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012

Practice location Address checks out

5603 Chicago Ave
Minneapolis, MN 55417-2429
Phone: (612) 708-0753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 1588 (MN)

Record details

NPI number1306199864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peng Her — Owner · (612) 708-0753
NPI enumeratedOctober 22, 2012
Last updated in NPPESMarch 1, 2018
Mailing address5603 Chicago Ave, Minneapolis, MN 55417-2429

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